Modeling of experimental acute bronchopneumonia with pulmonary fibrosis

D. Ziablitsev
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Abstract

. There is currently an urgent need to create an available experimental model to reproduce the main pathogenetic mechanisms of COVID-associated lung injury. Aim – development of the acute bronchopneumonia experimental model with the pulmonary fibrosis. A group of laboratory Wistar rats (n=20) with full observance of bioethical norms under thiopental anesthesia underwent surgery with the introduction into the trachea of sterile nylon thread 2.5 cm long and 0.2 mm thick to a depth of 2.5 cm; in the control group included 5 animals. For 28 days, the animals were observed and performed pathomorphological, cytological, hematological and microscopic examinations. During the observation, the cyanosis increased, breathing became difficult with the active involvement of the respiratory muscles, severe rales and crepitation were heard. Rectal temperature increased by 1–1.5 o C. On sectional examination after 7 days, the lungs were swollen, pale pink in color, had layers of fibrin, severe cyanosis, intra-tissue hemorrhage. After 21 days, these changes were supplemented by the development of atelectasis and fibrosis. On the 21st day, the granulocyte-lymphocyte index increased (1.5 times; p=0.003). Microscopic examination showed the development in the first week of acute exudative bronchopulmonary inflammation, in the second – the formation of peribronchial and alveolar abscesses, with their organization in the third week, with the subsequent development of diffuse parenchymal fibrosis and vascular hyalinosis. The model of acute aspiration bronchopneumonia in rats with the introduction of nylon thread into the trachea allows to obtain the main clinical and morphological manifestations of acute exudative-proliferative damage to the lungs with the development of pulmonary fibrosis.
实验性急性支气管肺炎伴肺纤维化模型的建立
. 目前迫切需要建立一个可用的实验模型来重现新冠肺炎相关肺损伤的主要发病机制。目的:建立急性支气管肺炎伴肺纤维化的实验模型。实验用Wistar大鼠(n=20)在完全遵守生物伦理规范的情况下,在硫喷妥钠麻醉下进行手术,将长2.5 cm、厚0.2 mm的无菌尼龙线插入气管,深度2.5 cm;对照组5只。观察28 d,进行病理形态学、细胞学、血液学和显微镜检查。观察期间,患者发绀加重,呼吸困难,呼吸肌主动受累,伴严重的啰音和震颤。直肠温度升高1 ~ 1.5℃,7 d后横断面检查,肺肿胀,淡粉色,纤维蛋白层状,严重紫绀,组织内出血。21天后,这些变化被肺不张和纤维化的发展所补充。第21天,粒细胞-淋巴细胞指数升高(1.5倍;p = 0.003)。显微镜检查显示第一周出现急性支气管肺渗出性炎症,第二周支气管周围和肺泡脓肿形成,第三周出现组织,随后出现弥漫性实质纤维化和血管透明质病。气管内引入尼龙线的大鼠急性吸入性支气管肺炎模型,可以获得肺急性渗出性增殖性损伤伴肺纤维化发展的主要临床和形态学表现。
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